<HTML>
<FORM>

<fieldset STYLE="
				
			position:fixed;
			left:
			311;
			top:
			248;
			width:
			371;
			
			height:
			184;
			
			
			">
<input TYPE="text" NAME="Sub1104001010" VALUE="" TABINDEX="11" MAXLENGTH="10">
</FIELDSET>
</FORM>

